k k k k k k
ALTH NURSING 28CHAPTERS (3RD EDITION BY VARCA
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ROLIS) 1 QUESTIONS AND ANSWERS 2023/2024 GRAD
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ED A+ k
Test Bank: Essentials of Psychiatric Mental Health Nursing (3rd Edition by Varca
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rolis) 2 k
Chapter 01: Practicing the Science and the Art of Psychiatric Nursing MU
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LTIPLECHOICE k
1. Whichkoutcome,kfocusedkonkrecovery,kwouldkbekexpectedkinkthekplankofkcarekf
or a patient living in the community and diagnosed with serious and persistent
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mental illness? Within 3months, the patient will: a. deny suicidal ideation.
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b. reportkaksensekofkwell-being.
c. takekmedicationskaskprescribed.
d. attendkclinickappointmentskonktime.
ANS: B k
Recovery emphasizes managing symptoms, reducing psychosocial disability, an
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d improvingrole performance.
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The goal of recovery is to empower the individual with mental illness to achieve
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a sense of meaning and satisfaction in life and to function at the highest possible
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level of wellness. Theincorrect options focus on the classic medical model rather
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kthan recovery. k
DIF: Cognitive Level: Application (Applying)
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REF: 2TOP: Nursing Process: Outcomes Ide
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ntification MSC: NCLEX: Health Promotion a k k k k k
nd Maintenance
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2. In the shift-change report, an off-
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going nurse criticizes a patient who wears heavymakeup. Which comme
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nt by the nurse who receives the report best demonstrates advocacy?
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,TEST BANK: ESSENTIALS OF PSYCHIATRIC MENTAL HE
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ALTH NURSING 28CHAPTERS (3RD EDITION BY VARCA
k k k k k k
ROLIS) 1 QUESTIONS AND ANSWERS 2023/2024 GRAD
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ED A+ k
a. Thiskiskakpsychiatrickhospital.kCrazinesskiskwhatkwekarekallkabout.
b. Letskallkshowkacceptancekofkthiskpatientkbykwearingklotskofkmakeupktoo.
c. Yourkcommentskarekinconsideratekandkinappropriate.kKeepkthekreportkobjectiv
e.
,TEST BANK: ESSENTIALS OF PSYCHIATRIC MENTAL HE
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ALTH NURSING 28CHAPTERS (3RD EDITION BY VARCA
k k k k k k
ROLIS) 1 QUESTIONS AND ANSWERS 2023/2024 GRAD
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ED A+ k
d. Ourkpatientskneedkourkhelpktoklearnkbehaviorskthatkwillkhelpkthemkgetkalon
g insociety.ANS: D
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Accepting patients needs for self- k k k k
expression and seeking to teach skills that will contributeto their well-
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being demonstrate respect and are important parts of advocacy. The on-
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coming nurse needs to take action to ensure that others are not prejudiced ag
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ainst the patient. Humor can be appropriate within the privacy of a shift report
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but not at the expense of respect for patients. Judging the off-
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going nurse in a critical way will create conflict.
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Nurses must show compassion for each other.
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DIF: Cognitive Level: Application (Applying) REF: 8
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TOP: Nursing Process: Implementation MSC: NCLEX: Safe, Effective Care Envir
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onment 3. A nurse assesses a newly admitted patient diagnosed with major de
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pressive disorder. Which statement is an example of attending?
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a. Wekallkhavekstresskinklife.kBeingkinkakpsychiatrickhospitalkisntkthekendkofkthekworl
d.
b. Tellkmekwhykyoukfeltkyoukhadktokbekhospitalizedktokreceivektreatmentkforkyourde
pression.
c. Youkwillkfeelkbetterkafterkwekgetksomekantidepressantkmedicationkstartedkforkyo
u.
d. Idklikektoksitkwithkyoukakwhileksokyoukmaykfeelkmorekcomfortablektalkingkwithkm
e.
ANS: D k
, TEST BANK: ESSENTIALS OF PSYCHIATRIC MENTAL HE
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ALTH NURSING 28CHAPTERS (3RD EDITION BY VARCA
k k k k k k
ROLIS) 1 QUESTIONS AND ANSWERS 2023/2024 GRAD
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ED A+ k
Attending is a technique that demonstrates the nurses commitment to the relat
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ionship and reduces feelings of isolation. This technique shows respect for the
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patient and demonstrates caring. Generalizations, probing, and false reassuran
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ces are non-therapeutic.
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DIF: Cognitive Level: Application (Applying) REF: 8
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TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity 4. A
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patient ishospitalized for depression and suicidal ideation after their spouse ask
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s for a divorce.
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Select the nurses most caring comment.
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a. Letskdiscussksomekmeanskofkcopingkotherkthanksuicidekwhenkyoukhavekthesekfee
lings.
b. Ikunderstandkwhykyoureksokdepressed.kWhenkIkgotkdivorced,kIkwaskdevastatedkt
oo.
c. Youkshouldkforgetkaboutkyourkmarriagekandkmovekonkwithkyourlife.
d. Howkdidkyoukgetksokdepressedkthatkhospitalizationkwasnecessary?